Intraoral Approach for Reduction and Fixation of Infraorbital Rim Fracture

Abstract

Various surgical approaches are widely used for exposure, evaluation, and treatment of orbital trauma and pathology in the orbital floor and infraorbital rim. They were conveniently categorized as either transcutaneous or transconjunctival. The purpose of this research is to assess the intraoral approach for reduction and fixation of the infraorbital rim in zygomatic fractures.Patients and methods:11 patients were subjected to reduction and fixation of infraorbital rim fracture through intraoral vestibular approach. Time of surgery, Post-operative edema and infraorbital nerve sensory function were evaluated. All patients were followed up for six months.Results: all cases included in the current study did not show any lower eyelid complications . postoperative numbness and edema were reported and subcided completely .Conclusion: Intraoral unilateral vestibular approach allows access to the zygomatico-maxillary buttress and infraorbital rim with only 1 incision, optimizes surgical time, decreases complication rates, and avoids periorbital scarring in the patient.